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Intense fighting a serious challenge for patients, MSF staff in Helmand
Médecins Sans Frontières reported Tuesday that while fighting has been intense since May in Helmand province, clashes between the Afghan security forces and the Taliban have intensified in recent weeks and spread to more urban areas such as the provincial capital of Lashkargah city.
“There has been relentless gunfire, airstrikes and mortars in densely populated areas. Houses are being bombed, and many people are suffering severe injuries,” says Sarah Leahy, coordinator of the MSF Helmand project.
“Fighting within the city makes it harder for us to respond; our staff are part of the community and they, like many people, are afraid to leave their homes. It’s just far too dangerous and life is at a standstill,” says Leahy.
“Some of our colleagues are staying overnight in the hospital as it’s safer, but also so they can keep on treating patients. The situation has been dire for months but now it is even worse.”
Despite the challenges, the MSF-supported Boost hospital remains operational and has seen a marked increase in trauma needs over the past week.
“In just one day we performed 10 surgeries on people injured by violence, which is unheard of for us as we are not Lashkargah’s main provider of trauma care,” says Leahy. “Before last week we were operating on average on two war-wounded people per day.”
The main trauma centre in the city is run by another organisation, and is also under immense pressure; the people they cannot admit are sent to MSF for care, the statement read.
Between 29 and 31 July alone, MSF treated 70 war-wounded patients. In total from 3 May until 31 July, we have treated 482 war-wounded people, nearly all (92 per cent) for injuries caused by shells and bullets, and around a quarter (26 per cent) aged under 18. The patients seen by MSF are just a fraction of the total number injured by the violence, the organization reported.
MSF also said the conflict is stopping people from seeking medical attention when ill.
“The conflict leads people to think 10 times about whether they really want to make the journey. They delay until they can’t wait anymore, when their relatives haven’t opened their eyes for two or three days, have shallow breathing and are unresponsive. From a medical perspective, that’s almost too late.”
Even amongst MSF staff, the impact of the fighting is clearly visible. “Healthcare staff are exhausted. The work itself, seeing all these patients, is hugely difficult. And then on top of that, people have to deal a lot with outside pressures and worries,” says an MSF doctor.
Our teams continue to provide much-needed healthcare in Boost hospital, while continuing to run projects in four other locations around the country; Herat, Kandahar, Khost and Kunduz.
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G7 envoys urge national dialogue for lasting stability in Afghanistan
Special Representatives of the Group of Seven (G7), including the European Union, have emphasized the importance of a national dialogue for achieving long-term stability in Afghanistan.
Following a meeting on Afghanistan in Geneva, Switzerland, G7 special envoys issued a joint statement calling for the restoration of women's rights and urging the Islamic Emirate to fight terrorism.
The statement reads: "Achieving sustainable peace and stability requires credible governance that represents all segments of Afghan society."
The representatives also expressed concern over the IEA’s decision to ban girls from attending medical institutes, warning that it will have devastating consequences for the citizens, particularly mothers and their infants.
The statement described this ban as unacceptable and called on the Afghan authorities to lift it immediately.
Earlier, countries and international organizations had called for the removal of restrictions on the education and employment of women and girls, emphasizing the need for a national dialogue.
In response to these concerns, IEA has repeatedly stated that it will not allow interference in the internal affairs of the country.
The G7 special envoys also expressed their concern about the recent terrorist attacks in Kabul and the surrounding region, warning that terrorism remains a serious threat to Afghanistan's security. They confirmed the actions of the IEA against Daesh but stressed the need for more decisive measures.
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Afghanistan’s bright future lies in educating girls: Karzai
Hamid Karzai, the former president of Afghanistan, says the demand of Afghan girls for the reopening of schools and universities is their fundamental right and adds that Afghanistan cannot have a bright future without ensuring access to education for girls.
In a statement on his X (formerly Twitter) account, Karzai said: "The demand and voice of our country’s girls for education and knowledge is a rightful one and crucial for a prosperous Afghanistan."
He further emphasized, "Empowering the youth—both girls and boys—is the only way to achieve self-reliance, break the cycle of poverty, and drive the development and prosperity of society."
Karzai underscored that education is vital for Afghanistan’s growth and development, expressing hope that the doors of schools and universities for girls will be reopened as soon as possible.
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IEA to set up special courts to address pensions
Mawlawi Hebatullah Akhundzada, the supreme leader of the Islamic Emirate of Afghanistan (IEA), has issued a decree to establish special courts to address pensions, Bakhtar news agency reported on Saturday.
According to the decree, the courts must confirm and process pensions in accordance with Sharia and law.
Pensioners have repeatedly voiced concern over delay in payment, saying that their financial challenges are growing.
Earlier this year, IEA's supreme leader banned money being deducted from salaries of government employees for pensions.
He also requested information on the tenure of employees and the total amount deducted from salaries for pensions.
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